Cougar Challenge 5K and Fun Run Waiver

Cougar Challenge Waiver:

1.
*

First Name

2.
*

Last Name

3.

Emergency Contact First and Last Name

4.

Emergency Contact Phone

5.
*

Please select one of the checkboxes below

(1 required)
I acknowledge and agree to the terms set forth above.   I do not accept and agree to the terms set forth above.

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